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Page 2 of 3
11. ALL INFORMATION MUST BE COMPLETED:PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION.
12. This column to be filled in by
the Building Department.
Existing Proposed Required by
Zoning
Lot Size 'ROJI' lS�eovS ,Fi $ �
Frontage Ids S �
Front:
Setbacks:
Side: L: R: L: R:
Rear:
Building Height
Bldg Square / 2 D u S
Footage l
%Open Space:
(Lot area minus bldg and
a� Paved parking)
#of Parking Spaces
#of Loading Docks
Fill: (volume&location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: (l —3—ly APPLICANT'S SIGNATUR
NOTE:Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning
Requirements and obtain all required permits from the Board of Health,Conservation Commission,
Department of Public Works and other applicable permit granting authorities.
FILE#
Oak
Page 3 of 3
Page 1 of 3
THIS FORM IS PART OF THE SIGN PERMIT APPLICATION
File No.
ZONING PERMIT APPLICATION
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: L��NOA) CrV171 0S 4L�.
Address: /"- Awl- r 5 r, elephone: c�
2. Ownerof Property:�,t�j*/jWW /L� e�C.C' �511/�� tr�Ooi'
Address: S;fm-p Telephone: I .r1/0-r
3. Status of Applicant: Owner _Contract Purchaser _Lessee
_Other(explain):
4. Job Location: /V
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT) �+
5. Existing Use of Structure/Property: :"�?EN
6. Description of Proposed Use/Work/Project/Occupation:(Use additional sheets if necessary)
1l��G� Sl��.l /fi�i0t7X', Sim tom' t�G�'fT'1 U N
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: Enter: Book Page and/or Document#
9. Does the site contain a brook,body of water or wetlands? N0 DON'T KNOW YES
IF YES: Has a permit been,or need to be,obtained from the Conservation Commission?
Needs to be obtained Obtained ,Date issued
10. Do any signs exist on the property? YES NO /
IF YES: Describe the size,type and location:
tit M.tl�G•� ,Si�►i'� /7.¢ir.� ' ilLTy, �+/ /t�9�r.�r�illt.
�NTi 4�f
Are there any proposed changes to,or additions of,signs intended for the property? YES NO
IF YES: Describe the size,type and location: T!Zn a EX/t7;'eyG 1"00
.5010r b
`��� C^47// ^1 C-1 4L .6vo Wbpr> f 4 r?
\v I
` 1' 3 20114
teCtriq Plumbing&Gas Irsp ib of Qrt4ampturn
Northampton,t�A X11 0106Q
L Allazzar4usetts
1 r
DEPARTMENT OF BUILDINC INSPECTIONS
212 Main Street . Municipal Building �J1,w ����
Northampton, MA 01060
INSPECTOR Application for a Permit to Place or Maintain a Sign
Or other Advertising Device, or Marquee
(Application to be filled out in ink or typewritten) Number.....................
Plans must be filed with the Building Inspector Erection..................( )
before a permit will be granted. Alteration.................( )
Repair.....................( )
Repainting...............( )
Removal..................
( )
FEE........PAGE........PLOT.......
Northampton, Mass. ..........20.....
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device,or marquee.
BUSINESS NAME ..... X*#J.......5..Y.T .. .......4%4L;
...........................
N �,IAPiE' t'
1. Location, Street and No. ..........................•�"-`.--••--------......�........--•--�.....................
2. Owner's name .....SO RIV Atv ...... ....... .................
3. Owner's address ...5/ i... ... .....................................
4. Maker's name ...eIt?!!�...... ?/aS...........................................................
5. Maker's address .. L4/.Vt C.....................................................................................
6. Erector's name ... .......................................................................................
7. Erector's address .S! I�"C.. ............. ......................................................................
47/V SIGNS v' 2' j� KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated ...x. Non-illuminate,'.
2. Will sign obstruct a fir scape,window or door? ./k..V. Marquee ...............
3. Lower edge will be 6!)i F.4........ins above the public way. Projecting ..............
4. Upper ed a will be 1,T-..ft. .../e..ins above the publi way. Roof ................
5. Height ..- .ft.&.ins idth 4f-'.Jt..G.ins �' �j f' TempoF�ra��YY.. .....:. ..
6. Face area 3. ..sq. ft� ry j Wall .X....� ..
7. Inner edge will be from the building or pole. Ground ................
8. Outer edge will beZ.•--".ins from the building or pole. Other...................
9. Face of building or pole is li.Q.inS back from the street line.
10. Sign will project O....ins beyond the street line.
11. Sign will extend .¢...ft .......ins above the building or pole. /
12. Of what material will sign be constructed? Frame ...,�!! 1�i1 .. �....�4!`�.... f!'
13. Estimated cost $..11V4Vv........
The undersigned certifies that the above statements are true to the t of his knowledge and belief.
s"" .........................
(Signature of Owner or Agent)
File#BP-2015-0520
APPLICANT/CONTACT PERSON SALMON STUDIOS LLC
ADDRESS/PHONE PO BOX 1155 NORTHAMPTON (413)221-9717 Q
PROPERTY LOCATION 28 NORTH MAPLE ST
MAP 17C PARCEL 229 001 ZONE SI(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Tyneof Construction: REPLACE ILLUM FRONT WALL SIGN-SALMON STUDIOS LLC
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF MATION PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received& Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Demolition Delay
o�" A4x, L alv� LIL611
Signature of Building Official Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
*Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of
Planning&Development for more information.
City of Northampton Map 17C Lot229 Zone SI(100)/
Massachusetts Date issued 11/7/2014 0:00:00
Inspector of Buildings Permit # BP-2015-0520
Permit Fee$30.00
SIGN PERMIT
Business SALMON STUDIOS LLC
Address 28 NORTH MAPLE ST
Applicant InstallerSALMON STUDIOS LLC
Applicant Installer Address
Work Description REPLACE ILLUM FRONT WALL SIGN - SALMON
STUDIOS LLC
Estimated Cost $4000.00
Building Department
Approval by: